Sapin E, Bargy F, Lewin F, Baron J M, Adamsbaum C, Barbet J P, Helardot P G
Department of Pediatric Surgery, St. Vincent de Paul's Hospital, Paris, France.
Eur J Pediatr Surg. 1994 Jun;4(3):137-40. doi: 10.1055/s-2008-1066087.
As a result of refinements in Prenatal Ultrasonography (US), neonatal ovarian cysts are more frequently encountered than in the past. Between January 1981 and December 1990, 21 consecutive fetuses with ovarian cysts were followed up by ultrasonography. 23 ovarian cysts were diagnosed between 28 and 38 weeks gestation. 18 cysts were initially large cysts (more than 50 mm in diameter). In 9 cases, an anechoic cyst was observed and a US-guided needle aspiration of the cyst was performed (2 antenatally and 7 postnatally). Ultrasonographic patterns of complicated cyst were observed in 3 fetuses. After a postnatal ultrasound control, 11 infants were operated on: 8 surgical interventions were required for complicated cysts (torsion: 4, hemorrhage: 4), 3 cases irrespective of their sonographic appearance in our initial experience. In the remaining cases, spontaneous resolution was followed by repeated ultrasonographic examination. Prenatal ultrasonography today allows diagnosis of ovarian cysts and may suggest antenatal complications. To preserve as much ovarian tissue as possible, cysts greater than 50 mm in diameter should be candidates for percutaneous aspiration and complex cystic masses should be operated on.
由于产前超声检查（US）技术的改进，新生儿卵巢囊肿的发现比过去更为频繁。在1981年1月至1990年12月期间，对21例连续的患有卵巢囊肿的胎儿进行了超声随访。在妊娠28至38周期间诊断出23个卵巢囊肿。其中18个囊肿最初为大囊肿（直径超过50毫米）。9例观察到无回声囊肿，并进行了超声引导下的囊肿穿刺抽吸（2例在产前，7例在产后）。3例胎儿观察到复杂囊肿的超声图像。产后超声检查后，11例婴儿接受了手术：8例因复杂囊肿需要手术干预（扭转：4例，出血：4例），在我们最初的经验中，有3例无论其超声表现如何均接受了手术。其余病例通过重复超声检查观察到自发消退。如今，产前超声检查能够诊断卵巢囊肿，并可能提示产前并发症。为了尽可能保留更多的卵巢组织，直径大于50毫米的囊肿应考虑进行经皮抽吸，复杂的囊性肿块应进行手术治疗。
